49D2136082 CLIA NUMBER - SKINDC PLLC

Laboratory Demographics

  • CLIA Code: 49D2136082
  • Facility Name: SKINDC PLLC
  • Facility Address: 1525 WILSON BOULEVARD - SUITE 125
    ARLINGTON, VA
    ZIP 22209
  • Facility Phone: 703 966-7127
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERRENCE C. KEANEY
  • NPI Number: 1558804625
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2136082
LAB Type Physician Office
Facility Name SKINDC PLLC
Street 1525 WILSON BOULEVARD - SUITE 125
City ARLINGTON
State VA
ZIP 22209
Phone 703 966-7127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director TERRENCE C. KEANEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025